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1528261781
OMID ENTEZAMI
SOUTHFIELD, MI
NPI
1528261781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501007593)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Mr. OMID ENTEZAMI PT
21751 W 11 MILE RD SUITE 109
SOUTHFIELD, MI 48076-3712
Phone number: 248-356-2100
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Mailing Address
Mr. OMID ENTEZAMI PT
3521 BURNHAM RD
ANN ARBOR, MI 48108-9696
Phone number: 734-730-5592
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